Relationship between Nursing Process and Peplau’s Model Peplau’s key concept focuses around the therapeutic nurse-client relationship which develops through overlapping and interlocking phases of orientation, working, and resolution through which the nurse-client relationship evolves throughout the patient’s healing process (Blais & Hayes, 2011). Peplau’s therapeutic nurse-client relationship phases and the nursing process goes hand in hand. The nursing process of assessing applies to Peplau’s orientation phase of gathering data, actively listening, building trust, and reducing any anxiety (Videbeck, 2011). This takes place in the beginning of the therapeutic relationship and it differs from other patient relationships because it focuses on only the needs of the patient (Videbeck, 2011). The nurse is responsible for setting the parameters of the meetings and then providing the client with direction.
Hildegard Peplau published the first nursing theory in 1952 and was recognized internationally as a nurse leader. Peplau’s Interpersonal Relations Theory emphasized the nurse as a change agent for patients healing. This encouraged interaction between the patient and nurse including concepts of anxiety, frustration, conflict and needs (George, 2011). She describes four steps in the interactional process that are relevant to nurses; orientation, identification, exploitation and resolution (McCrae, 2011). Her work contributed to the development of the National Mental Health Act of 1946 as well as providing input to the World Health Organization and National Institute of Mental Health (George, 2011).
Watson developed her theory influence by the Eastern culture, international travels, and experiences obtained from her sabbatical leaves. Caring theory, which has been developing over the years, serves as a guideline to educate nurses how to apply the theory in nursing practice. Later, Watson expanded her theory publishing her book Nursing: Human Science and Human Care to Human Caring Science: A Theory of Nursing. Watson’s job evolves “framing and naming caring science as the disciplinary foundation for nursing profession” (Watson, 2012, p. ix-xi). This theory has been used to help the new generation of nurses to view the human being as a whole with a connection between body, mind, spirit and the environment, understand transpersonal relationship, and create caring moments in nursing practice to improve patient care to obtain positive outcomes.
(According to University of Phoenix Week Two Supplement (2006), Developmental Historical of Nursing Timeline) 1961, 1990 – Ida Jean Orlando – Yale graduate who became a faculty member – Focus on relationship between the nurse and patient. (According to University of Phoenix Week Two Supplement (2006), Developmental Historical of Nursing Timeline) 1964, 1969 – Ernestine Wiedenbach – Yale graduate who became a faculty member- Focus on relationship between nurse and patient. (According to University of Phoenix Week Two Supplement (2006), Developmental Historical of Nursing Timeline) 1967 – Dickoff, James (Yale philosophers) and Wiedenbach( Yale nurse) all presented a definition of nursing theory and goals for theory development in nursing and it was published in Nursing Research. (According to University of Phoenix
A woman centred care: case study This summative assessment will enable me to apply the knowledge and skills I have acquired from the theory sessions of the fundamental aspects of care module. In order to meet the requirements of this assessment a public health issue will be identified from a case scenario. Whilst using a problem solving approach I will critically analyse the woman’s needs and the evidence- based midwifery care involved. By reflecting on the case scenario of a client that I helped to care for in the postnatal ward, I hope to show integration of the roles of the midwife and that of the student in achieving a woman centred care approach within our caseload of that day, through reflection. In this case reflection being the expression of my expectations, perceptions and feelings of the experience represented by the evidence in this case scenario (Rodgers, 2002).
The nurse can either help or interfere with the patient’s healing process, depending on how this nurse-patient relationship is developed and followed through. Watson’s theory helps nurses examine themselves and their patients on a holistic level - mentally, physically, and spiritually. “In Watson’s theory, nursing is centered around helping the patient achieve a higher degree of harmony within mind, body, and soul, and this harmony is achieved through caring transactions involving a transpersonal caring relationship” (Suliman, Welmann, Omer, and Thomas, 2009, p 293). This
Registered nurses are in a position to advocate for the rights of their patients and are often involved in ethical decision-making processes. Ethical decisions arise when the nurse is faced with a choice, in which he or she believes there is the potential for a bad or good outcome. In the case of Marianne the ethics committee will have to weigh the physician’s recommendation of surgery to remove the clot, her husband’s desire to “try everything” and her children’s belief that she would not want to have surgery only to live with a poor quality of life. In a malpractice case it is essential to remember the ANA Code of Ethics. According to “Code of Ethics” (2007), the second provision states, “The nurse’s primary commitment is to the patient, whether an individual, family, group, or community” (ANA, 2001, p. 18).
Dr. Roy currently works as a “Professor and Nurse Theorist at the William F. Connel School of Nursing at Boston College, where she teaches doctoral, masters and undergraduate students” (Sr. Callista Roy, 2008, ¶ 5). Title of model and classification by nursing community. Dr. Roy’s most significant contribution to nursing has been her development of the Roy Adaptation Model. The Roy Adaptation Model is considered a conceptual model by the nursing community and has led to further development of theories and middle-range theories, such as Theory
The purpose of this paper is for the nurse to complete a health assessment of a family by using Gordon’s 11 functional health patterns and the system’s approach. By using open ended questions for the 11 principals, the nurse can predict potential problems in the health perception, nutrition, elimination, activity-exercise, cognitive perception, rest-sleep, self perception/concept, role relationship, sexuality, coping, values and beliefs by evaluating the risk taking and behavioral patterns within the family. A nursing diagnosis and care plan can then be developed by using the data collected during the interview. The nurse can then provide health care interventions which will assist the family in obtaining optimal health (Edelman & Mandle, 2010). The family interviewed consists of five family members.
The following essay aims to identify how reflection in action and on action may impact on the provision of services by District Nurses. The author felt it important to define the two concepts, in order to understand their relevance to practice. It was found by Schon (1983) that reflection- in-action, was a nurses’ ability to understand how an individual was responding to a nursing intervention at the present time; in contrast to reflection-on-action which was thinking through a situation after it had occurred. From this understanding the author established through in depth reading that reflection has been a topic of discussion within nursing, health and social care professions for years (Kinsella, 2009). The theory of reflection has made the author identify the epistemology of reflection in and on action and the effect this can have on her professional growth.